Individual
SHAYLA RAIELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
4134 FIELDWAY RD, REX, GA 30273-2506
(404) 263-2788
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9625721
FL
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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